PT - JOURNAL ARTICLE AU - Joseph F. Styron AU - Peter J. Evans TI - The evolution of office notes and the electronic medical record: The CAPS note AID - 10.3949/ccjm.83a.14191 DP - 2016 Jul 01 TA - Cleveland Clinic Journal of Medicine PG - 542--544 VI - 83 IP - 7 4099 - http://www.ccjm.org/content/83/7/542.short 4100 - http://www.ccjm.org/content/83/7/542.full SO - Cleve Clin J Med2016 Jul 01; 83 AB - The advent of the electronic medical record (EMR) combined with an expansion of information required by medicolegal and billing departments has transformed the progress note from a succinct note into an often unwieldy data-dump unable to concisely convey the physician’s medical reasoning. We describe a new note format— CAPS, which stands for concern, assessment, plan, and supporting data—to streamline the communication of the patient’s problem, the practitioner’s assessment and plan, and the medical reasoning to support the plan.